Sciatica

Sciatica describes pain, tingling, numbness, or weakness that radiates along the path of the sciatic nerve, usually from the lower back or buttock down one leg. It is not a single disease but a symptom pattern most often linked to irritation or compression of a lumbosacral nerve root, commonly from a disc herniation, spinal stenosis, or degenerative changes in the lower spine. Some cases improve gradually over days to weeks, while others become more persistent and function-limiting.

Treatment options vary because sciatica can differ in cause, severity, duration, neurologic involvement, and impact on daily life. In Western care, approaches often focus on identifying red flags, relieving pain, preserving function, and addressing structural contributors through strategies such as physical therapy, medications, or selected procedures. In Eastern and integrative frameworks, modalities such as acupuncture, manual therapy, and mind-body movement are traditionally used to reduce pain, improve mobility, and support recovery. As with low back pain more broadly, research suggests that the best-fit approach often depends on symptom intensity, how long symptoms have lasted, tolerance for risk, and whether there are concerning features such as progressive weakness or bowel/bladder changes.